Individual
MS. MARTA JO WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
150 NICKERSON ST, SUITE 203, SEATTLE, WA 98109-1634
(206) 789-7556
Mailing address
150 NICKERSON ST STE 203, SEATTLE, WA 98109-1634
(206) 789-7556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006249
WA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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